Is the childhood home food environment a confounder of the association between child maltreatment exposure and adult body mass index?

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Childhood maltreatment is consistently associated with adult obesity, leading to calls for tailored weight interventions for people with maltreatment histories. However, it is possible that the maltreatment–obesity association is spurious and driven by unmeasured confounding, in which case such interventions would be misplaced. The home food environment in childhood is a potential confounder, but its role in the association of maltreatment with obesity has not been examined. We used a longitudinal dataset (Project EAT) to examine the association of adult retrospective reports of maltreatment history in childhood (1+ types of maltreatment before age 18 years) with previously-collected prospective childhood reports of home food environment characteristics (availability of healthy foods, availability of sweet/salty snack food, family meal frequency, and food insufficiency). We then estimated the association between maltreatment and adult body mass index (BMI, kg/m 2 ) with and without adjustment for these home food environment factors. After adjustment for sociodemographics, maltreatment had a 0.84 kg/m 2 (95% CI: 0.28, 1.41) higher BMI at age 24–39 years, compared to those with no maltreatment, after adjustment for sociodemographics, parenting style, and BMI in childhood. Additional adjustment for home food environment factors had little effect on this association (β = 0.78 kg/m 2 ; 95% CI: 0.21,1.35), suggesting limited confounding influence of the home food environment factors. Findings provide additional robust evidence that childhood maltreatment is a risk factor for obesity that may warrant tailored interventions.

Original languageEnglish (US)
Pages (from-to)86-92
Number of pages7
JournalPreventive Medicine
Volume110
DOIs
StatePublished - May 1 2018

Fingerprint

Child Abuse
Body Mass Index
Food
Obesity
Snacks
Parenting
Meals
History
Weights and Measures

Keywords

  • Child maltreatment
  • Confounding
  • Obesity

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

Cite this

@article{adef9bc5cb264097841a3b4818d1dca2,
title = "Is the childhood home food environment a confounder of the association between child maltreatment exposure and adult body mass index?",
abstract = "Childhood maltreatment is consistently associated with adult obesity, leading to calls for tailored weight interventions for people with maltreatment histories. However, it is possible that the maltreatment–obesity association is spurious and driven by unmeasured confounding, in which case such interventions would be misplaced. The home food environment in childhood is a potential confounder, but its role in the association of maltreatment with obesity has not been examined. We used a longitudinal dataset (Project EAT) to examine the association of adult retrospective reports of maltreatment history in childhood (1+ types of maltreatment before age 18 years) with previously-collected prospective childhood reports of home food environment characteristics (availability of healthy foods, availability of sweet/salty snack food, family meal frequency, and food insufficiency). We then estimated the association between maltreatment and adult body mass index (BMI, kg/m 2 ) with and without adjustment for these home food environment factors. After adjustment for sociodemographics, maltreatment had a 0.84 kg/m 2 (95{\%} CI: 0.28, 1.41) higher BMI at age 24–39 years, compared to those with no maltreatment, after adjustment for sociodemographics, parenting style, and BMI in childhood. Additional adjustment for home food environment factors had little effect on this association (β = 0.78 kg/m 2 ; 95{\%} CI: 0.21,1.35), suggesting limited confounding influence of the home food environment factors. Findings provide additional robust evidence that childhood maltreatment is a risk factor for obesity that may warrant tailored interventions.",
keywords = "Child maltreatment, Confounding, Obesity",
author = "Mason, {Susan M} and Santaularia, {N. J.} and Berge, {Jerica M} and Larson, {Nicole I} and Neumark-Sztainer, {Dianne R}",
year = "2018",
month = "5",
day = "1",
doi = "10.1016/j.ypmed.2018.02.016",
language = "English (US)",
volume = "110",
pages = "86--92",
journal = "Preventive Medicine",
issn = "0091-7435",
publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Is the childhood home food environment a confounder of the association between child maltreatment exposure and adult body mass index?

AU - Mason, Susan M

AU - Santaularia, N. J.

AU - Berge, Jerica M

AU - Larson, Nicole I

AU - Neumark-Sztainer, Dianne R

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Childhood maltreatment is consistently associated with adult obesity, leading to calls for tailored weight interventions for people with maltreatment histories. However, it is possible that the maltreatment–obesity association is spurious and driven by unmeasured confounding, in which case such interventions would be misplaced. The home food environment in childhood is a potential confounder, but its role in the association of maltreatment with obesity has not been examined. We used a longitudinal dataset (Project EAT) to examine the association of adult retrospective reports of maltreatment history in childhood (1+ types of maltreatment before age 18 years) with previously-collected prospective childhood reports of home food environment characteristics (availability of healthy foods, availability of sweet/salty snack food, family meal frequency, and food insufficiency). We then estimated the association between maltreatment and adult body mass index (BMI, kg/m 2 ) with and without adjustment for these home food environment factors. After adjustment for sociodemographics, maltreatment had a 0.84 kg/m 2 (95% CI: 0.28, 1.41) higher BMI at age 24–39 years, compared to those with no maltreatment, after adjustment for sociodemographics, parenting style, and BMI in childhood. Additional adjustment for home food environment factors had little effect on this association (β = 0.78 kg/m 2 ; 95% CI: 0.21,1.35), suggesting limited confounding influence of the home food environment factors. Findings provide additional robust evidence that childhood maltreatment is a risk factor for obesity that may warrant tailored interventions.

AB - Childhood maltreatment is consistently associated with adult obesity, leading to calls for tailored weight interventions for people with maltreatment histories. However, it is possible that the maltreatment–obesity association is spurious and driven by unmeasured confounding, in which case such interventions would be misplaced. The home food environment in childhood is a potential confounder, but its role in the association of maltreatment with obesity has not been examined. We used a longitudinal dataset (Project EAT) to examine the association of adult retrospective reports of maltreatment history in childhood (1+ types of maltreatment before age 18 years) with previously-collected prospective childhood reports of home food environment characteristics (availability of healthy foods, availability of sweet/salty snack food, family meal frequency, and food insufficiency). We then estimated the association between maltreatment and adult body mass index (BMI, kg/m 2 ) with and without adjustment for these home food environment factors. After adjustment for sociodemographics, maltreatment had a 0.84 kg/m 2 (95% CI: 0.28, 1.41) higher BMI at age 24–39 years, compared to those with no maltreatment, after adjustment for sociodemographics, parenting style, and BMI in childhood. Additional adjustment for home food environment factors had little effect on this association (β = 0.78 kg/m 2 ; 95% CI: 0.21,1.35), suggesting limited confounding influence of the home food environment factors. Findings provide additional robust evidence that childhood maltreatment is a risk factor for obesity that may warrant tailored interventions.

KW - Child maltreatment

KW - Confounding

KW - Obesity

UR - http://www.scopus.com/inward/record.url?scp=85042184467&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85042184467&partnerID=8YFLogxK

U2 - 10.1016/j.ypmed.2018.02.016

DO - 10.1016/j.ypmed.2018.02.016

M3 - Article

C2 - 29454080

AN - SCOPUS:85042184467

VL - 110

SP - 86

EP - 92

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

ER -